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Search › California › 363L00000X

Jerry Wong

NPI 1124694377 · on the registry since 2021

Practice

Address
3850 Grand Ave
Oakland, CA 94610
Phone
(888) 663-6331
Fax
(415) 252-7176
Clinicians at this address
13

Additional practice sites

  • 818 Webster St, Oakland, CA
  • 750 Redwood Hwy Frontage Rd Ste 1210, Mill Valley, CA

Registry record

Primary taxonomy
363L00000X
363L00000X
Also registered as
163W00000X
363LF0000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-03-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California